Usually in between sessions, I take some kind of notes and keep a journal which helps me see what is most bothering me that I need to talk about the next time. This doesn't mean I actually talk about those things though because I have to build up the courage. Plus sometimes my notes have more than could be covered in 50 minutes.

I think what has most helped me to talk about my eating problem is knowing that what I say to my T is confidential. I also decided that keeping things from my T or not being completely honest would not really help my therapy but might actually hinder my progress.

I think it is great that you don't want to keep anything private. It is another thing to actually get all the private stuff out but hopefully your T has created a safe place for you to do that. Maybe she would let you write some things down for her to read and then you could start talking about them. I haven't tried that with my T but I sure have been tempted when I am scared to get something out because sometimes just bringing it up is hard.

I hope you can find a way to talk more about your eating with your T because it sounds like you are concerned. I know I go back and forth between thinking I have an ED and then totally denying it.

I don't know if you have read any books about ED's but I read Almost Anorexic and Good-bye Ed, Hello Me and then I am now reading Life Without Ed (note that this one is better if read before Good-bye Ed, Hello Me). While these books have not changed my eating behaviors, they have challenged them and made me realize that there is something wrong with what I am doing. That has led me to talk about it with my T a few times and then to her realizing that this is a problem we need to focus on. Anyway, I am not trying to sell books but just sharing what I have found helpful. I hope you are able to find a way to open up with your T and get it all out. Even though it is stressful, it really does feel relieving when you release everything that has been internalized, and do so in a safe place like therapy.